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HomeMy WebLinkAboutCONTROL SOLUTIONS INC - INSURANCE CERTIFICATECONTR-1 ,acoRo CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDlYYYY) `-� 12/10/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 970-674-8825 COONT CT Ryan D. Hicks Renaissance Insurance Group PHONE 970-674-8825 FAX 970-674-8826 P O Box 478 (A/C, No, Eld): (A/C, No 1349 Water Valley Pkwy., #200 E-" RE : rhicks@reninsurance.com Windsor, CO 80550 Ryan D. Hicks INSURERS AFFORDING COVERAGE NAIC0 INSURER A: Continental Western Group 10804 INSURED Control Solutions Inc. INSURERS: Plnnacol Assurance 41190 2960 S. Fox Street Englewood, CO 80110 INSURERC: COVERAGES CERTIFICATE NUMBER: REVISION Nt1MBFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR CPA3079290 12/10/2018 12/10/2019 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED $ 300,000 MED EXP (Any oneperson) 51000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY A Ee LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-pWNED AUTOS ONLY AUTOS ONLY CPA3079290 12/10/2018 12/10/2019 COMBINED SINGLE LIMIT n 1,000,000 $ $ X BODILY INJURY Perperson)$ BODILY INJURY Per accident PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAR IX EXCESS LIAB OCCUR CLAIMS -MADE CPA3079290 12/10/2018 12/10/2019 EACH OCCURRENCE $ 4,000,000 AGGREGATE DED I X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED Y (Mandatory in NH) - If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4178934 12/01/2018 12/01/2019 X PERTuTE OTH- E.L. EACH ACCIDENT 500,000 E.L. DISEASE - EA EMPLOYEE 00 500,0 E L DISEASE - POLICY LIMIT 500,000 A Leased/Rented CPA3079290 12/10/2018 12/10/2019 Limit 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Subject to policy forms, conditions, definitions and exclusions FTCPURC City of Fort Collins P.O. Box 580 Fort Collins, CO 80525 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD